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Dr. Joydeep Mandal

General Physician, Katwa

100 at clinic
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Dr. Joydeep Mandal General Physician, Katwa
100 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
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Well my Question is I want to be a healthy life last 5 years back I had jaundice but now I am cure with the problem but my health is I look older and my hair fall problem started. I want some advice about my liver health.

M. sc Psychology, BHMS
Homeopath, Hyderabad
Well my Question is I want to be a healthy life last 5 years back I had jaundice but now I am cure with the problem b...
Hi lybrate user, h/o. Jaundice obviously indicates the care one should take care abt liver's health. Usually, in digestive part the vital organ is liver, so, you need to be more conscious to keep it healthy. In that way, you have to follow few tips in your life style, to take less oily, non spicy food, lessening or avoiding non. Veg (if you r npn. Vegtrian, taking less fatty, more proteinaceous diet, increasing intake of water abt 3-4litres/day, consuming more dal, curd, butter milk (raitha/lassi, more fruits, veg. Salads, avoiding pickles, black beverages, alcohol, junk food. You shoud do regular exercises like walking, jogging, any gym, yoga etc, but should b regular. To be normal, to lead healthy life, you should adopt all above mentioned measures. Evn for hair also, you need to take dal, sprouts, millets, milk, egg white, soya related, which all are more rich of protein&b complex take care in choosing hair conditioners, shampoos, oil, which should ve with more natural ingredients rather than containing more concentrated chemicals.
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I have cellulites in my leg for past three weeks. Any remedy to stop this swelling?

MBBS
General Physician, Mumbai
We need to give combination of antibiotics and anti inflammatory drugs with rest to decrease cellulitis.
3 people found this helpful
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Many of my friends ask me for sexual relationship I am 21 year old is it safe to keep the relation with multiple partner using condom.

F.C.P.S.(Mid. & Gynae), MBBS
Gynaecologist, Mumbai
It an unsafe practice. It could lead to sexual transmitted diseases. Its good to be sexually active with only a single know partner.
8 people found this helpful
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I am 29 years old. I have light pain in my stomach. Pain become severe when I run. I do not have any type of allergy.

SLE, Fellowship In Diabetology, Diploma In Psychology Mental Health And Illness, PLAB (MANCHESTOR, UK), FAGE, MBBS
General Physician, Bangalore
I am 29 years old. I have light pain in my stomach. Pain become severe when I run. I do not have any type of allergy.
Thanks for your query as you may be aware that the problem of stomach pain can have many causes. Please contact me in private section so that I can discuss this further and give medication thanks.
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Is it safe to have sex without protection during the safe days of her cycle? It does not cause pregnancy? Please explain in detail. P. S: by safe days I mean the first 7 and last 7 days of her cycle. Can protection/contraceptives be avoided?

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
There is nothing like such big hard and fast rule related to safe days and unsafe days it is always better to use protection from diseases and unwanted pregnancy.
2 people found this helpful
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‬Recent Changes in Tuberculosis Guidelines 2016

MBBS
Pediatrician,
‬Recent Changes in Tuberculosis Guidelines 2016

1.3 new goals – cure, prevent resistance and break chain of transmission.

2. Introduction of daily regime.

3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.

4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.

5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).

6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.

7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.

8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.

9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.

10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.

11. Sputum should be around 2ml and preferably be mucopurulent.

12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.

13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students. 
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment 
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity. 
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended. 
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced) 
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed. 
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.

4 people found this helpful

Dr. my name is shashikant I am a diabetics patient when I checked my sugar it is above 300 sir please help me to control this I have also started to drink barley water.

MBBS
General Physician, Chandigarh
Dr. my name is shashikant I am a diabetics patient when I checked my sugar it is above 300 sir please help me to cont...
This is quite a high level you will need medication as well as daily life style changes in your diet and exercise routine it's advisable to consult an endocrinologist and get thoroughly investigated and follow his treatment and advice
1 person found this helpful
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I am 21 years old. I am facing a problem related to stomach. It is happening from last 2 months. Now which medicine I should take during stomach pain?

BHMS
Homeopath, Faridabad
I am 21 years old. I am facing a problem related to stomach. It is happening from last 2 months. Now which medicine I...
Hello, take natrum phos 6x, 5 tabs thrice daily before meals and bc no. 25, 5 tabs thrice daily after meals for gastric problem. If the pain persists then go for an ultrasound abdomen test. Take care.
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Indigestion - Ayurvedic Remedies For It!

BAMS, PGFP
Ayurveda, Jalgaon
Indigestion - Ayurvedic Remedies For It!

One of the most common health problems people have is indigestion. As per ayurveda, the accumulation of Ama or toxins leads to an imbalance in the way the small and large intestines functions along with various other participating organs like the liver and more. And this is the rootcause for indigestion.

The digestive tract or system is one of the most important organs of the body. Ayurveda relies on the rhythms and functions of the body to find the rootcause of ailments. Indigestion usually occurs because of bad daily habits & less physical activity.

There are many ways to treat to indigestion in an ayurvedic way. Let us look at the top tips for the same:

  1. Timely intake of meals: For better digestion, one must take meals at the same time everyday. Also, do not sit down for the next meal before the previous meal has been digested properly.
  2. Sleep: Sleep is a major factor that cure stress and creates a balance of sorts in one's routine, thus aiding proper digestion.
  3. Exercise: Some form of movement and exercise is imperative to keep the digestive system in prime working condition. Walk and yoga especially are ideal to boost one's digestive health.
  4. Aloe vera: An ounce of aloe vera a day will keep indigestion away. Break off, a leaf and scoop some gel into a smoothie for smooth digestion.
  5. Turmeric: Haldi or turmeric helps in reducing bloating and is one of the most commonly used spices found in ayurveda. This spice is a staple in indian cooking as well, where pretty much all dishes are seasoned with cooked turmeric.
  6. Meditation: This is one of the best ways to give digestion a positive push with a good dose of mindfulness and awareness for better balance in the body.
  7. Avoiding unhealthy food: One must avoid unhealthy food that are excessively fried, fatty, sweet or cold so as to aid the digestive fires in doing their job effectively.
  8. Triphala: This combination of three fruits ensures that your digestive system remains in good working condition. If you wish to discuss about any specific problem, you can consult an Ayurveda.
4717 people found this helpful

My daughter 23 years old. If she walks 1-2 hours, her toe and bottom get swallowed.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There are many causes of swelling in the legs. Most common reason is postural and many patients develop it when they stand for a long time, but as soon as they elevate their leg up, the swelling subsides. It can happen after any injury which is a priority to diagnose and treat accordingly. Also there could be infection or inflammation which can lead to swelling. Sometimes heavy physical activity may also lead to swelling in your calf muscles. But we have to look at medical causes as well, chronic cardiac conditions can lead to swelling, any pathology which leads to low proteins in the body like deranged lft, kft etc can also lead to swelling. Hypothyroidism can also lead to generalized swelling like appearance in the body. So for accurate diagnosis we need to clinically evaluate and get appropriate tests: cbc, esr, crp, lft, kft, serum electrolytes and thyroid profile. Please get back to me should you need more information or with test results. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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